Individual
NGOZI QUEEN NKANGINIEME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(857) 574-9737
Mailing address
1 EMERSON PL APT 17M, BOSTON, MA 02114-2216
(330) 285-6100
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
127543
OH
2084P0800X
Psychiatry Physician
Primary
272674
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Enumeration date
07/08/2013
Last updated
09/11/2018
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